Profiting From Purpose: Profiles of Success and Challenge in Eight Social Purpose Businesses

Offers an in-depth analysis of eight community-based human service and youth-serving nonprofit organizations that received assistance from Seedco's Nonprofit Venture Network to develop their capacity to launch social purpose businesses

Performance of a campus photovoltaic electric vehicle charging station in a temperate climate

A photovoltaic (PV) array can be combined with battery energy storage to satisfy the electrical demand of lightweight electric vehicles. Measured solar resource and vehicle energy consumption, together with locational, mechanical and electrical constraints were used to design a vehicle charging station comprised of a 63 m2 10.5 kW AC PV array, with a 9.6 kWh lithium-ion battery. PV output, battery charge and discharge, electricity flows were monitored over one year. Deviations between measured and calculated annual AC generation averaged to 14%. Average annual direct consumption, self-consumption and system self-sufficiency were 8.47%, 30.3% and 74.36% respectively

Rural-metropolitan health differential for young persons with eating disorders referred for specialist treatment

Objective: The aim was to explore associations between residing in a rural area and clinical characteristics of children and adolescents with eating disorders presenting to a specialist eating disorders program. Method: The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N ~ 1000), a prospective ongoing registry study comprising consecutive paediatric tertiary eating disorder referrals. The sample (N = 399) comprised children and adolescents presenting with a DSM-5 eating disorder, with ages ranging from 8 to 16 years (M = 14.49, 92% female). Results Consistent with the hypotheses, living in a rural area was associated with a lower body mass index z-score, and a higher likelihood of medical complications at intake assessment. Contrary to our hypothesis, eating pathology and living in a rural area were negatively associated. No relationship was observed between living in a rural area and duration of illness or greater percentage of bodyweight lost. Conclusions: The results suggest that living in a rural area and being a greater distance from specialist services is associated with more severe malnutrition and medical complications by the time the young person and their family obtain specialist care. These findings have implications for service planning and provision for rural communities. The modifications to service delivery in the study setting will be described

Know and grow: A qualitative evaluation of a parent skills training intervention

Objective: This qualitative study examined the experience of parents of children and adolescents with eating disorders after having participated in a skills-based training intervention. Method: Participants were interviewed and transcripts were analysed using inductive thematic analysis. Results: Parent responses were organised around key themes of (1) effectiveness and acceptability of the intervention; (2) interpersonal experience of the group process; and (3) feedback on intervention content. Overall, the program was seen by parents to be highly relevant with direct application to supporting their child in home and hospital environments. Discussion: This study reports on preliminary evidence that skillsbased training is acceptable to parents and improves parent functioning including parent self-efficacy, and reduces psychological distress, anxiety, and burden. The study also demonstrated that the intervention can be delivered in a tertiary paediatric treatment setting and it may become cost-effective method for supporting parents and other carers. Future research is required on treatment efficacy and patient outcomes

Correlates of psychiatric inpatient admission in a paediatric eating disorder cohort

Objective: The prevalence and correlates of impending psychiatric inpatient admissions in children and adolescents with eating disorders were examined. Method: The sample comprised patients aged 8 to 17 years (91% female), with DSM-5 eating disorder diagnosis, categorised as with (n = 38) or without (n = 247) impending psychiatric admission, assessed between 2006 and 2013. The data source was the Helping to Outline Paediatric Eating Disorders (HOPE) Project registry (N ~ 1000), a prospective, ongoing registry study comprising consecutive paediatric tertiary eating disorder referrals. Results: Multivariate analysis of variance and discriminant function analysis were conducted to examine correlates. The prevalence of impending psychiatric admission was 13.3%. Significant group differences were found on psychological, behavioural, and situational correlates. Specifically, suicidal ideation, depressive symptoms, eating pathology, multiple methods of weight control, anxiety, purging behaviours, family functioning, and exercise for shape and weight control. Conclusions: Almost 1 in 7 young people with an eating disorder who attended assessment had a presentation needing inpatient psychiatric care, and these individuals could be differentiated from individuals not hospitalised or treated in inpatient medical settings. Implications of these findings include better identification of patients at critical psychiatric risk, earlier recognition and intervention for these patients and more focused assessment of comorbid psychiatric symptoms in specialised eating disorder triage and assessment. Adaptions at the study site to clinical and training protocols will be discussed

Characterizing contributions of glacier melt and groundwater during the dry season in a poorly gauged catchment of the Cordillera Blanca (Peru)

The retreat of glaciers in the tropics will have a significant impact on water resources. In order to overcome limitations with discontinuous to nonexistent hydrologic measurements in remote mountain watersheds, a hydrochemical and isotopic mass balance model is used to identify and characterize dry season water origins at the glacier fed Querococha basin located in southern Cordillera Blanca, Peru. Dry season water samples, collected intermittently between 1998 and 2007, were analyzed for major ions and the stable isotopes of water (δ<sup>18</sup>O and δ<sup>2</sup>H). The hydrochemical and isotopic data are analysed using conservative characteristics of selected tracers and relative contributions are calculated based on pre-identified contributing sources at mixing points sampled across the basin. The results show that during the dry-season, groundwater is the largest contributor to basin outflow and that the flux of groundwater is temporally variable. The groundwater contribution significantly correlates (P-value=0.004 to 0.044) to the antecedent precipitation regime at 3 and 18–36 months. Assuming this indicates a maximum of 4 years of precipitation accumulation in groundwater reserves, the Querococha watershed outflows are potentially vulnerable to multi-year droughts and climate related changes in the precipitation regime. The results show that the use of hydrochemical and isotopic data can contribute to hydrologic studies in remote, data poor regions, and that groundwater contribution to tropical proglacial hydrologic systems is a critical component of dry season discharge

Safety, Feasibility and Effectiveness of the remotely delivered Pulmonary Hypertension And Home-Based (PHAHB) Physical Activity intervention

Background Pulmonary hypertension (PH) is a heterogeneous condition, associated with a high symptom burden and a substantial loss of exercise capacity. Despite prior safety concerns regarding physical exertion, exercise training as a supportive therapy is now recommended for PH patients. Currently, most programs are hospital-based, which limits accessibility. There is a need to provide alternative approaches for physical activity engagement for PH patients. The aim of this research was to develop, implement and evaluate the safety, feasibility, and effectiveness of home-based physical activity intervention for PH. Methods An entirely remotely delivered home-based exercise intervention underpinned by behaviour change theory and informed by end-users, was assessed using a single-arm feasibility study design. Participants (n=19; 80% female) with a mean (±sd) age of 49.9±15.9 y with a diagnosis of PH undertook a 10-week, home-based exercise intervention with induction training, support materials, telecommunication support, health coaching, exercise training, and assessments, all remotely delivered. Training involved respiratory training along with a combination of aerobic and resistance exercises. Results The intervention was deemed safe as no adverse events were reported. A high level of feasibility was demonstrated as the protocol was implemented as intended, sustained a high level of engagement and adherence and was well accepted by participants in terms of enjoyment and utility. There was a significant improvement in functional capacity, physical activity, exercise self-efficacy and quality of life (QoL), between baseline and post-training. Conclusion The study demonstrates that an entirely remotely delivered home-based exercise program is safe, feasible and effective in improving functional capacity, physical activity, and QoL in PH patients